Constipation of non motor symptoms in patients with Parkinson's disease

Parkinson patients not only have tremor, rigidity and slow motion and other symptoms, and often have constipation, serious can affect the qu


Parkinson patients not only have tremor, rigidity and slow motion and other symptoms, and often have constipation, serious can affect the quality of life. Today, I'm talking to you about constipation.

First of all, we need to understand the definition of constipation, it is a symptom, refers to fecal retention in the intestines too long, constipation is illogical, defecation cycle extended, or cycle is not long, but the fecal dry, difficult discharge, or fecal matter is not hard, although it is intended, but will not smooth condition by manipulation or drug assisted defecation etc.. Popular on the five words: defecation unpleasant. According to the severity of constipation, often divided into three types, a mild symptom is light, does not affect the life, the general treatment can improve, without medication or less medication; severe constipation refers to persistent symptoms in patients with abnormal pain, seriously affect the life, can not stop drug or treatment is invalid; moderate lies between the two.

So, what are the hazards of constipation, including the following: (1) induced cardiovascular and cerebrovascular diseases (constipation make abdominal pressure, elevated blood pressure, angina, myocardial infarction, stroke, etc.); (2) the risks caused by hemorrhoids, anal fissure, serious person can produce rectal rupture and perforation; (3) the symptoms of poisoning such as: chronic fatigue, memory loss, dizziness, insomnia, inattention, etc.; (4) increase the chance of rectal cancer. For the friends of the bar, constipation can also affect the absorption of drugs, is part of the reasons for the poor effect of some of the patients, the more affect the mood, quality of life. Therefore, we should attach great importance to the diagnosis and treatment of constipation.

Many factors are involved in constipation, PA for friends, mainly has the following three reasons: (1) reduce the volume of activities: Papageorgiou often slow, activity restricted, even long-term bed rest, cause gastrointestinal motility, resulting in constipation; (2) drug factors: Patrick friends often need to take anticholinergic drugs King Kong, a dopamine agonist, anti Parkinson drugs were in Wanan, may aggravate constipation; (3) diet and defecation habits: poor eating habits, eating and drinking less, especially dietary fiber too little; there are poor bowel habits, such as not timely defecation, long time inhibition caused by constipation defecation.

Friends are most concerned about is how to do after the merger constipation. First of all, we should understand that the common types of laxative drugs, divided into the volume of laxatives (Peng Songji), Epsom salt, osmotic laxatives, stimulant laxatives and lubrication in five categories. (1) the volume of laxatives (leavening agent) of cellulose derivatives, containing ingredients of mild dose, prone to bloating, limiting the clinical use; (2) osmotic laxatives including salts of laxatives, not absorbed by sugar and polyethylene glycol, the most commonly used clinical, and safe, such as sugar permeability laxatives: lactulose (Duphalac), mainly by softening the stool, and thus play a laxative effect, and had no direct effect on the intestinal muscle and intestinal nerve, and non-toxic laxative effect and dependence. There is alcohol osmotic laxatives: Fukumatsu and Shu Taiqing, both can be used as the preferred drug for treatment of constipation. (3) stimulant: This is the most common clinical use of inappropriate laxative drugs, because it is the stimulation of colonic mucosa and myenteric plexus and smooth muscle, long-term use can cause diarrhea and abdominal pain appear serious; electrolyte disorder; drug dependence risk and even induce colorectal melanosis. Common drugs: Traditional Chinese medicine containing rhubarb, cassia, senna, mirabilite, phenolphthalein tablets and aloe vera (biantong capsule). You can take short term, remember not long-term use.

The treatment also recommended can be combined with probiotics: Chang An, Bifico, Zhengchangsheng drugs; gastrointestinal medicine: domperidone, cisapride and Mosapride, itopride hydrochloride; traditional Chinese medicine can also choose, such as Marenrunchang pills, simo. Specifically, after consultation decided to recommend.

Finally, tell the friends, should pay attention to diet and develop good habits. Add vegetables, fruits, whole grains intake, digestion and absorption of food to increase the margin, stimulate the intestinal peristalsis, but also retain some moisture, promote defecation. Put some vegetable oil, increase intestinal lubrication, conducive to defecation; it is best to drink 6 to 8 glasses of water every day, to ensure that the body has enough water Runchang soft spicy food taboo; hot food, easy consumption of Yin Jin water induced constipation. Develop a good habit of regular defecation: timing, concentration, row six words to you. Remember to drink a cup of warm water after morning, and then go to the toilet defecation, in order to cultivate and maintain the condition of defecation reflex. Maintain a happy mood, remember, don't abuse laxatives.

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